Lecture 6 Flashcards

1
Q

T or F: A nasal air pressure study in infants 2-6 months found that typical kids are able to elevate the velum.

A

True

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2
Q

Describe the characteristics of VP closure in typical kids:

A
  • VP open for windups, wimpers and laughs but VP closed for cries, screams and rasberries at all ages
  • Freq. of VP closure increases with age but is still a work in progress at 6 months
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3
Q

VP function doesn’t develop in ________. It is something built in but hard to acquire if you don’t have it early.

A

cleft palate

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4
Q

Describe the normal development of articulators:

A
  • initially too poor coordination/ large a tongue for speech
  • very first contoid sounds are often glottal VP sphincter develops over time
  • at 6 mnths coordination improves and vocal tract lengthens, VP function for syallables
  • emerging consonants are mostly labial, labiodental and alveolar; develop from front to back
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5
Q

Very first contoid sounds are often _______. The VP sphincter develops over time

A

glottal

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6
Q

Emerging consonants are mostly ______, _________ and ________ ; develop from ______

A

labial, labiodental and alveolar

front to back

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7
Q

List the early 8 consonants:

A

/m/, /b/, /j/, /n/, /w/, /d/, /p/, /h/

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8
Q

List the middle 8 consonants:

A

/t/, /ŋ/, /k/, /g/, /f/, /v/, /tʃ/, /dʒ/

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9
Q

List the late 8 consonants:

A

/ʃ/, /θ/, /ð/, /s/, /z/, /l/, /r/, /ʒ/

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10
Q

T or F: In babies with CLP and VP dysfunction contoids develop from front to back.

A

False

  • Front to back in typical kids
  • Back to front in CLP
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11
Q

List the 4 processes in CLP artic disorders:

A

1) omission
2) Distortion
3) Substitutions within the phonological system
4) Compensatory substitutions

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12
Q

_______ involves leaving the sound out

A

omission

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13
Q

Distortions can be either ______ or ______

A

passive or obligatory

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14
Q

What is the difference b/w substitutions within the phonological system and compensatory substitutions?

A

Depends on the language.
In substitutions within the phonological system the sound is part of the phonological system. In compensatory substitutions the sound isn’t part of that language.

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15
Q

T or F: It is difficult to hear sounds in a language you aren’t familliar with

A

true

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16
Q

Describe Trost-Cardamone’s classification system of speech errors:

A

Category 1 = obligatory errors – > physical management

Category 2 = compensatory errors –> Speech therapy

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17
Q

VP insufficiency and oronasal fistula are _______ errors = _______ treated with ________

A

category 1 = obligatory (passive) errors

- treated with physical mangagement

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18
Q

Speech mislearning is a _______ error= _______ treated with ________

A

categroy 2 = compensatory (active)

- treated with speech therapy

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19
Q

What are characteristics of compensatory errors in articulation:

A

1) maladaptive placement (often correct manner)
2) backed articulation
3) learned strategies
4) adaptation to insufficient VP closure

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20
Q

Compensatory errors are _______

A

active

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21
Q

Obligatory errors are _________

22
Q

The #1 characterization of CLP speech and the gateway drug to other compensatory errors is the ______

A

glottal stop

23
Q

Why would glottal double articulation occur?

A

Active articulation/ compensatory error. The child has had therapy to produce the new sound but hasn’t stopped producing the glottal stop.

24
Q

What sounds involves the back of the tongue moving to the posterior pharyngeal wall?

A

Pharyngeal voiced and voiceless plosives

Pharyngeal voiced and voiceless fricatives

25
Epiglottal fricative:
turbulance just below velum
26
What is the difference b/w the posterior nasal fricative and nasal fricative?
Posterior nasal fricative has turbulence at VP sphincter and nasal emission Nasal fricative has nasal emission but no turbulence at VP sphincter
27
How could you identify a voiced or voiceless palatal plosives?
Listen for front plosive first than back plosive. Neither should sound correct
28
Voiced an voiceless uvular plosive:
Tongue goes to uvula
29
Why might a voiceless bilabial fricative occur?
in an underbite ( class 3 occlusion)
30
/ʔ/
glottal stop
31
/ʕ/ and /ħ/
Voiced and voiceless pharyngeal fricative
32
/H/
Epiglottal fricative
33
/triangle shape/
posterior nasal fricative
34
/ñ̥/
nasal fricative
35
/ɸ/
bilabial fricative
36
/q/ and /G/
voiceless and voiced uvular plosive
37
/c/
palatal plosive
38
T or F: Children with CLP around the world produce the same types of substitutions
True
39
Describe Warren's regulation/ control theory of VPI
Pressure loss in the articulatory tract is compensated iwth an increase of airflow which puts the patient at risk for a voice disorder.
40
T or F: Prevalence for voice disorders in CLP shows that patients with CLP usually also have a voice disorder
False | - very variable findings, CLP does not mean you have a voice disorder
41
What do you treat first voice or resonance?
keep both in mind
42
List 4 elements of perceptual assessment:
1) Obtain adequate speech sample 2) Analysis of speech sample 3) Correlation of the speech findings to oro-facial structures 4) Interpretation of clinical data
43
List 6 ways of eliciting articulatory profiles:
1) Artic testing 2) oro-nasal transition 3) Oral sentences 4) Nasal sentences 5) Low pressure consonants 6) Conversational speech
44
Oro-nasal transition looks at ____ to assess ______
hamper | nasal turbulance and coordination
45
Oral sentences include the ______ and assess______
zoo passage | hypernasality
46
Nasal sentences include the ______ and assess______
nasal sentences | hyponasality
47
Low pressure consonants (eg. _________) assess______
" We were away" | Differentiation of hypernasality and nasal turbulence
48
Iowa pressure articulation test identifies _____
VP dysfunction
49
Bzoch Error Patterns Diagnostic Articulation Test identifies _______
compensatory articulations | - error types are mor important than test scores
50
To assess and compare speech outcomes in CLP The UK developed . . . The US developed . . .
UK - GOS.SP.ASS '98 and Cleft Palate Audit | US- MIDCD group